AB1537-HPR INFLUENCE OF SEGMENTAL STABILIZATION AND PILATES ON NON-SPECIFIC CHRONIC LOW BACK PAIN IN BRAZILIAN ELDERLY: A PRELIMINARY STUDY.
Authors: A. Torres Cruz, P. De Oliveira Januário, I. Coelho Baptista, A. Da Rocha Rodrigues, B. Libanio de Souza Castro, G. Bezerra Oliveira, I. Da Silva Palmeira, T. De Fátima Cabral Dos Santos, A. Pasqual Marques
Journal: Annals of the Rheumatic Diseases (2022)

Background Low back pain is the second most common health condition in Brazilian elderly, after arterial hypertension, and can be defined as any pain between the last ribs and the lower gluteal folds, with or without pain in the lower limbs, manifesting itself acutely, subacutely or chronically. Objectives To analyze the effect of segmental stabilization in comparison with the Pilates method in elderly patients with chronic non-specific low back pain. Methods 9 elderly people with chronic low back pain participated in the study, randomized into two groups: Segmental Stabilization Group (SG n=9; age 66.11±4.78; Body Mass Index - BMI 28.21±4.05) and Pilates Group (PG n=13; age 67.46 ±4.89; BMI 28.18±3.48). Both groups performed 16 individual 60-minute sessions twice a week and evaluated before and at the end of treatment. Pain was assessed using the Visual Numerical Pain Scale; functional disability, by the Oswestry disability index; excessive fear of movement and physical activity, by the Tampa Kinesiophobia Scale; level of confidence in balance for specific activities, by the Activities-specific Balance Confidence (ABC) scale and; activation of the transversus abdominis muscle, by the pressure biofeedback unit Stabilizer of the brand Chatanooga. The allocation and assessments of participants were performed by a blinded examiner. Data were analyzed using Student’s t test with the level of significance (p≤0.05). Results Pain intensity had a greater reduction in the SG when compared to the PG (p=0.0015), as well as a reduction in functional disability (p=0.0043). The activation of the transversus abdominis was greater in the PG (p=0.0213). There was no difference in kinesiophobia and the level of confidence in balance for specific activities. Conclusion Segmental stabilization and Pilates were effective in improving pain and functional disability, with SG showing a better effect for these variables. The PG obtained better results when compared to the SG regarding the activation of the transversus abdominis muscle. It is suggested to carry out studies with a greater number of participants, a longer treatment and follow-up time to complement these findings. References [1]Boonstra AM, Preuper HRS, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. IJSR 2008; 3(2):165-9. [2]Marques AP, Mendes YC, Taddei U, Pereira CAB, Assumpção A. Brazilian-Portuguese translation and cross cultural adaptation of the activities-specific balance confidence ABC) scale. Braz J Phys Ther 2013; 17(2): 170-8. [3]Siqueira FB, Teixeira-Salmela LF, Magalhães LC. Análise das propriedades psicométricas da versão brasileira da escala tampa de cinesiofobia. Acta Orto Bras 2007; 15(1): 19-24. [4]Viggato R, Alexandre NMC, Correa Filho HR. Development of a Braziliam Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine 2007; 32(4):481-6. Acknowledgements Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Disclosure of Interests None declared